MISSAK KLTCHIAN

Allopathic & Osteopathic Physicians|Internal Medicine LOS ANGELES, CA NPI 1255359840

General Payments — all program years on this page

$15,382.64

Category: General Payments
Program years: PY2018–2024
Record count: 726
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,673.71 across 68 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$1,673.71	68

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Acerta Pharma LLC	$210.48	10
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$195.63	7
Amgen Inc.	$179.82	8
SHIELD THERAPEUTICS INC	$177.73	6
Ardelyx, Inc.	$99.69	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$94.53	4
Lilly USA, LLC	$89.05	3
Sumitomo Pharma America, Inc.	$76.59	3
NOVARTIS PHARMACEUTICALS CORPORATION	$75.95	3
ABBVIE INC.	$74.00	3
PFIZER INC.	$54.49	2
Bayer HealthCare Pharmaceuticals Inc.	$50.85	2
AIMMUNE THERAPEUTICS, INC.	$50.68	2
GlaxoSmithKline, LLC.	$47.40	2
Lundbeck LLC	$40.14	2
Janssen Pharmaceuticals, Inc	$27.22	1
DEXCOM, INC.	$26.18	1
IRONWOOD PHARMACEUTICALS, INC	$24.49	1
Novo Nordisk AS	$23.94	1
Alvogen Inc	$21.28	1
Xeris Pharmaceuticals, Inc.	$19.56	1
Kowa Pharmaceuticals America, Inc.	$14.01	1

By program year

Program year	Amount	Records
2018	$2,467.06	126
2019	$2,324.92	119
2020	$2,715.11	131
2021	$2,617.39	126
2022	$2,009.23	89
2023	$1,575.22	67
2024	$1,673.71	68

Records — PY2024 (68)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1077930517	Janssen Pharmaceuticals, Inc	$27.22	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086193580	Bayer Healthcare Pharmaceuticals Inc.	$29.11	05/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086206395	Bayer Healthcare Pharmaceuticals Inc.	$21.74	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087035708	Novartis Pharmaceuticals Corporation	$27.61	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087035710	Novartis Pharmaceuticals Corporation	$22.28	06/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087035712	Novartis Pharmaceuticals Corporation	$26.06	04/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1096911906	Novo Nordisk Inc	$23.94	08/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104087050	ABBVIE INC.	$22.06	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104087052	ABBVIE INC.	$27.21	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104087054	ABBVIE INC.	$24.73	12/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104262905	AstraZeneca Pharmaceuticals LP	$15.49	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104282579	AstraZeneca Pharmaceuticals LP	$18.75	04/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104351012	AstraZeneca Pharmaceuticals LP	$14.68	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104356162	AstraZeneca Pharmaceuticals LP	$18.18	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104683725	AstraZeneca Pharmaceuticals LP	$25.74	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104684923	AstraZeneca Pharmaceuticals LP	$25.00	03/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105258624	AstraZeneca Pharmaceuticals LP	$31.26	10/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105466491	AstraZeneca Pharmaceuticals LP	$15.14	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105773584	AstraZeneca Pharmaceuticals LP	$22.32	08/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105828817	AstraZeneca Pharmaceuticals LP	$23.92	03/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1113467553	Kowa Pharmaceuticals America, Inc.	$14.01	10/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1115819961	Amgen Inc.	$18.77	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1115819969	Amgen Inc.	$24.35	06/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1115819979	Amgen Inc.	$9.82	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1115819988	Amgen Inc.	$25.72	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1115819997	Amgen Inc.	$27.70	09/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116385728	GlaxoSmithKline, LLC.	$21.43	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116712173	GlaxoSmithKline, LLC.	$25.97	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117600258	Amgen Inc.	$24.89	08/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117600260	Amgen Inc.	$32.24	11/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117600262	Amgen Inc.	$16.33	12/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117934769	Boehringer Ingelheim Pharmaceuticals, Inc.	$16.87	10/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117934771	Boehringer Ingelheim Pharmaceuticals, Inc.	$22.33	10/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117934773	Boehringer Ingelheim Pharmaceuticals, Inc.	$27.44	01/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117934775	Boehringer Ingelheim Pharmaceuticals, Inc.	$27.89	07/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131501493	PFIZER INC.	$29.14	05/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131557387	PFIZER INC.	$25.35	10/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135210384	Lilly USA, LLC	$33.89	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135211910	Lilly USA, LLC	$33.19	09/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135238514	Lilly USA, LLC	$21.97	05/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137624737	Alvogen Inc	$21.28	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144606504	Xeris Pharmaceuticals, Inc.	$19.56	02/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145934728	Lundbeck LLC	$25.84	03/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145934730	Lundbeck LLC	$14.30	05/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146689820	Ardelyx, Inc.	$23.98	05/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146689822	Ardelyx, Inc.	$23.98	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146689824	Ardelyx, Inc.	$22.77	11/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146689826	Ardelyx, Inc.	$28.96	12/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146976852	AIMMUNE THERAPEUTICS, INC.	$24.90	07/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147018318	AIMMUNE THERAPEUTICS, INC.	$25.78	03/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148875774	Sumitomo Pharma America, Inc.	$15.08	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148875776	Sumitomo Pharma America, Inc.	$36.00	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148875778	Sumitomo Pharma America, Inc.	$25.51	09/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150135269	SHIELD THERAPEUTICS INC	$30.00	06/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150140444	SHIELD THERAPEUTICS INC	$23.73	08/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150150397	SHIELD THERAPEUTICS INC	$26.90	10/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150156710	SHIELD THERAPEUTICS INC	$29.34	12/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150158579	SHIELD THERAPEUTICS INC	$33.88	12/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150158581	SHIELD THERAPEUTICS INC	$33.88	12/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153323514	Dexcom, Inc.	$26.18	02/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153475102	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.90	12/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153480882	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.46	10/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153544281	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$111.49	11/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153573834	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.19	05/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153644403	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.38	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153651456	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.64	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153661008	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$6.57	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153716615	IRONWOOD PHARMACEUTICALS, INC	$24.49	08/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.